Three kinds of building. One question.
Porto Dome does not deliver care. It defines the conditions that make co-located care work, so that licensed local providers can deliver it well.
Care operators, health systems and cities look like three different readers. They are one. Each of you is an employer, and your own staff are among the people most likely to be carrying care at home.
What follows depends only on which building you hold.
For care and health operators
The Challenge:
Nobody in your city understands care better than you do. Yet your own staff are the people most likely to be carrying care at home — in the UK, roughly 600 people a day leave work altogether to care (Carers UK), and across Europe over 1 in 6 job advertisements now relates to long-term care (European Care Strategy, 2022). They leave for reasons a pay rise does not fix: a nursery place that does not exist, a parent who cannot be left, a shift no childcare in the region will match.
What You Win:
Keep the staff you already trained. A hub inside your building answers the real reasons people leave. Apples and Honey Nightingale (London) reserves 20% of its nursery places for care staff, reporting better recruitment and retention continuously since 2017.
Hours that match real shifts. The early shift, the late one, the night — written into the framework from the start, not added afterwards.
Recognition for what you already do. The framework turns your operational expertise into a recognized, visible benchmark you can showcase.
The Invitation:
Help shape the framework, and be the site everyone else visits. Tell us what your building looks like and what your staff actually need.
For hospitals and health systems
The Challenge:
A hospital already runs at the tempo of care. It is staffed around the clock by people who keep a department running while keeping a parent alive at home — and the ones leaving are leaving in the years they are most experienced and hardest to replace.
What You Win:
Retention in the years that hurt most. Care for a parent begins, on average, at 59.6 years old — usually while someone is still in post (Alonso-Perez et al., Ageing & Society, 2026). A hub keeps that experience in the building.
A workforce answer your board understands. Europe faces a shortage of 4.1 million healthcare workers by 2030 (European Parliament, 2025). You hold something rarer than budget: buildings, estates teams, and a wellbeing mandate.
A low-risk path forward. Test one department or one floor, measured properly — establishing evidence before any larger commitment.
The Invitation:
Test it on one site. A single department, a single floor, measured properly.
For cities and public property owners
The Challenge:
You hold two things almost nobody else does: the buildings, and the mandate to act on what happens inside them. Right now those sit in different departments — estates watching floors empty, economic development watching residents cut hours because care does not fit around a job. They are the same problem.
What You Win:
Fill the floors going dark. Reuse civic and commercial buildings that already stand. The empty building is usually walking distance from the people who cannot find care near enough to use.
Deliver policy already written. The European Care Strategy (2022) calls for care at atypical hours near work, and invites Member States to use EU funding for workplace childcare. A first site puts your city ahead.
Start with a map, not construction. Map where childcare, elder day support, and workplaces sit within 15 minutes of each other — identifying gaps and empty buildings with no initial construction risk.
The Invitation:
Map your region. The first step is not a building — it is a map.
For researchers and evaluation partners
The first site is designed to be measured, not just built. If you work on intergenerational practice, workforce retention, ageing, or the built environment, the evaluation framework is open to collaboration from the start.
No site is certified yet. Whoever goes first will not be testing a finished model. They will be deciding what it becomes.